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General NPI Number Information
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NPI Number | 1659113983
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Entity Type | Organization
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Legal Business Name | KREBS CHIROPRACTIC & SPORTS REHAB INC.
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Dates
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Enumeration Date | 06/07/2024
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 720 N TUSTIN AVE STE 206
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City | SANTA ANA
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State | CA
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Zip | 92705-3606
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Country | US
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Telephone | 714-485-5301
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Fax |
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Provider Business Mailing Address
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Address Line | 11738 1/2 NOVA ST
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City | SANTA FE SPRINGS
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State | CA
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Zip | 90670-2837
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LUKE KREBS
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Credential | DC
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Telephone | 724-766-4650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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